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T K LOAN PHAM MD INC
NPI 1457597411
Internal Medicine in La Quinta, CA

Active since December 22, 2008
79440 CORPORATE CENTRE DR., STE 117, LA QUINTA, CA 92253(760) 771-2626(760) 771-2620 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About T K Loan Pham Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

T K LOAN PHAM MD INC (NPI 1457597411) is a healthcare organization registered as an internal medicine in La Quinta, California and active in the NPI registry since December 2008. The organization lists Thi Kim Loan Pham, President/owner, as its authorized official.

NPPES Registry Identity

NPI1457597411
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameT K LOAN PHAM MD INC
Location Address79440 CORPORATE CENTRE DR., STE 117La Quinta, CA 92253-7241
Mailing AddressPo Box 13550Palm Desert, CA 92255-3550 · (760) 771-2626 · Fax (760) 771-2620
Phone(760) 771-2626
Fax(760) 771-2620
Organization SubpartNo
Authorized OfficialThi Kim Loan PhamPresident/owner · (760) 771-2626
Enumeration DateDecember 22, 2008
Last NPPES UpdateApril 1, 2009
✔ NPI 1457597411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A60749
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
79440 CORPORATE CENTRE DR., La Quinta, CA 92253
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

T K Loan Pham Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090407000056Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to T K Loan Pham MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thi Pham, MD
Internal Medicine
NPI 1649217217
79440 CORPORATE CENTER DR STE 117 STE 117
La Quinta, CA 92253
(760) 863-0138
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T K Loan Pham MD Inc's NPI number?

The NPI number for T K Loan Pham MD Inc is 1457597411. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is T K Loan Pham MD Inc located?

T K Loan Pham MD Inc is located at 79440 Corporate Centre Dr. Ste 117, La Quinta, CA 92253. The listed phone number is (760) 771-2626.

What is T K Loan Pham MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is T K Loan Pham MD Inc enrolled in Medicare?

Yes. T K Loan Pham MD Inc is registered in the Medicare PECOS enrollment system.

When is T K Loan Pham MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through T K Loan Pham MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to T K Loan Pham MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for T K Loan Pham MD Inc was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.